Page:United States Statutes at Large Volume 104 Part 2.djvu/514

 104 STAT. 1388-106 PUBLIC LAW 101-508 —NOV. 5, 1990 hemodialysis staff assistant services (taking into account time expended in travel and predialysis patient care), (iii) For purposes of clause (ii)(II)— (I) the national median hourly wage for a home hemodialysis staff assistant and the national median average time expended for home hemodialysis staff assistant services shall be determined annually on the basis of the most recent data available, and (II) the national median hourly wage for a home hemodialysis staff assistant shall be the sum of 65 percent of the national median hourly wage for a licensed practical nurse and 35 percent of the national median hourly wage for a registered nurse. (C) PAYMENT AS ADD-ON TO COMPOSITE RATE.— The amount of payment determined under this paragraph shall be in addition to the amount of payment otherwise made to the provider of services or renal dialysis facility under section 1881(b) of such Act. (c) INDIVIDUALS ELIGIBLE TO RECEIVE SERVICES UNDER PROJECT.— (1) IN GENERAL. —An individual may receive services from a provider of services or renal dialysis facility participating in the demonstration project if— (A) the individual is not a resident of a skilled nursing facility; (B) the individual is an end stage renal disease patient entitled to benefits under title XVIII of the Social Security Act; (C) the individual's physician certifies that the individual is confined to a bed or wheelchair and cannot transfer themselves from a bed to a chair; (D) the individual has a serious medical condition (as specified by the Secretary) which would be exacerbated by travel to and from a dialysis facility; (E) the individual is eligible for ambulance transportation to receive routine maintenance dialysis treatments, and, based on the individual's medical condition, there is reasonable expectation that such transportation will be used by the individual for a period of at least 6 consecutive months, such that the cost of ambulance transportation can reasonably be expected to meet or exceed the cost of home hemodialysis staff Eissistance as provided under subsection (b)(4); and (F) no family member or other individual is available to provide such assistance to the individual. (2) COVERAGE OF INDIVIDUALS CURRENTLY RECEIVING SERV- ICES. — Any individual who, on the date of the enactment of this Act, is receiving staff assistance under the experimental authority provided under section 1881(f)(2) of the Social Security Act shall be deemed to be an eligible individual for purposes of this subsection. (3) CONTINUATION OF COVERAGE UPON TERMINATION OF PROJECT.— Notwithstanding any provision of title XVIII of the Social Security Act, any individual receiving services under the demonstration project established under subsection (a) as of the date of the termination of the project shall continue to be eligible for home hemodialysis staff assistance after such date

�